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$10,000 in medical bills -- and that's with insurance

Posted Sep 10 2008, 03:14 PM by Karen Datko
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Two encounters with illness have cost David of My Two Dollars and his wife nearly $10,000 out-of-pocket so far this year, and that's not including the $320 a month they were paying for health insurance premiums.

Health care is a huge personal-finance topic, but PF bloggers rarely write about it -- unless it hits close to home. Luckily, David and his wife were able to absorb the unanticipated expenses. But, he wonders, what about people who can't?

"So imagine what it would be like for someone without extra income. Or three kids to feed. Or a mortgage to pay for," he says. "... No wonder people lose their homes, their jobs, their marriages, etc., over paying for medical bills."

Here's how some other PF bloggers have dealt with the issue in their personal lives. Maybe you'll find something resembling your own situation.

Blogger MariRDH at MariRDH's Personal Finance Blog learned that her health insurance premium through work for her family of three is going up $300 -- to a total of $1,100 a month. She then found a high-deductible HMO, eligible for a health savings account, for $600 a month. She writes, "The family deductible is $5,000 with a max out-of-pocket of $10,000 a year. Guess what my $5,000 emergency fund is going to be called come Sept. 1?" (Update: She might get a better deal through the student health service at the college her husband attends.)

Pamela Grundy at Personal Finance Analyst details how her coverage at work declined over several years. "The plan I have now has a $5,000 deductible, and pays 80/20 after that, but they are notorious for denying claims outright," she writes.

Madison at My Dollar Plan was able to quit work outside the home at the tender age of 29, but thank goodness she's married to Scott. "He's still working. Not necessarily for the money, but for our awesome health insurance," she writes.

"Vh" at Funny about Money has recently encountered yet more mind-boggling changes in her employer's health insurance offerings. She's also approaching retirement age and has looked into Medicare. She observes that the government's overview of Medicare is "113 pages full of details whose complexity rivals the U.S. tax code!"

At Her Every Cent Counts, SFgal writes about the challenges you face when you have high-deductible insurance. (Warning: She provides TMI.) Her point is that you worry about the money you spend as much as the care you get.

David had what he calls a "brush" with leukemia. More recently, he had melanoma removed from his leg. He doesn't smoke, drink or overeat, and he exercises regularly.

They had private insurance with a $2,500 deductible (and hopefully the option of a health savings account), a $40 co-payment for doctor's visits, and had to pay 50% for out-patient services. It didn't cover vision or dental. His wife was not eligible for insurance through her teaching job at a private school.

They have since moved from Los Angeles to New Mexico, and their insurance situation has greatly improved. As of Sept. 1, they have good coverage, at $257 a month, through her job as a public-school teacher.

That doesn't stop David from thinking of those who are uninsured or underinsured. "If I could not have paid my bills, would I deserve to lose my home? My job? My credit? I don't think so -- this is health we are talking about, not some stupid mistake I made on my own."

Comments

 

Yes couple years ago we had $12,000 out of pocket and $450 per month premiums and that is with an HSA!

Prineville oregon

Same thing happened to me.  Luckily I had a home with a bit of equity and had to

refinance to pay off a $10,000 medical bill.  If it happens again, I don't know what

I will do?  The equity is gone, due to the housing bust!  I am retired and on a fixed

income....I have high blood pressure and although I try not to worry about any

unexpected bills, It is on my mind every day.  I honestly feel that the government

and those who are elected do not care!  They have a job, a home, good pay and a

retirement package that will take care of them and their families.  We, the middle and

lower income families are just stuck paying taxes to support their lifestyles.  Don't know how it got so messed up and don't know what to do about it!

Yep, and the medical insurance covers less and less every year. Or at least the percentage for me this year it only covers 70% meanwhile doctor visits and medication has gone up 200% over the past few years.

Kinda wish my salary would go up by that much.

I think everyone should cancel there health insurance- then will see what the true cost of health care is. Instead of the insurance inflated priced health care.

The ins. plan my husband has through his employer recently went up to $1,000.00 a month. My husband is a commissioned salesman in the auto industry.  Sometimes he doesn't clear enough money to cover the health insurance, taxes and 401 K. On more than one occasion , he actually owed his employer money for a 60 hour week!

The really scarry thing is we are both over 50 years old, and it seems other health insurance companies frown on medications, or underwriting jacks up the back end "just in case".  Therefore, we can not afford health insurance.

Scary ... it's a tragedy that someone have to end up losing their home or got into debt over sickness.  What is wrong here? I am Canadian and am thankful for our healthcare system. It's not perfect but you at least have  peace of mind  knowing that sickness should not be a financial burden. I think US's healthcare business is too much of a mess to fix it. US Doctors act as businessman rather than "care providers", their incomes are many many times of those in Europe and Canada. Public fundings for healthcare such as in Canada put a cap on what doctors can charge per year and it makes sense! and believe me they are not living in poverty.  In Europe and in Canada costs of going to med school are cheaper than in US (Germany pay for their doctors education).  I am not at all against doctors but if you have a medical system that  focus mainly on the Financial aspect then doctors have no choice but to participate in it, this spells trouble. And, isn't it terrible that only RICH people can afford to be sick?

There are no political will to fix the system (Clinton, Obama and even the Republicans talked about it, but it seems like it's just talk)

I'm a Federal employee with, what I thought was, good coverage.  I was disgnoised with *** cancer last year around Thanksgiving.  My treatment continued into 2008 so I was faced with $22,000+ in out of pocket expenses since I crossed years ($11,000 per year).  At the same time my back stopped my home equity line of credit even after my house was assessed for more than $200,000 more than my mortgage.  I just told the hospital that they would have to set up a reasonable payment plan for me....and they did.  I told them what I could pay per month and if that wasn't acceptable I would file bankruptcy and they could try and get the money through the courts.  Can begin to tell you how this effects your treatment outcome!

This is a perfect example of why I am happy that my company offers a high deductible  health plan along with an HSA.  If my medical bills exceed 2500 dollars in a calendar year, I do not have to pay anything over that 2500 dollar mark as long as I use in-network providers.  I do not pay a monthly premium, but instead have money set aside (pre-tax) in the HSA.  This allows me to save tons of money on health insurance and lower my taxable income.  

Without going into minute detail, our precious 13 year old daughter had a horrific reaction to prescribed chemotherapy regimen to treat her lupus. She lived in absolute "hell" for a little over a year after this event (she withing a year after the reaction). Our insurance company shelled out over a million dollars - but that was not enough. We got hit with close to six figures in co-pay's and other uninsured expenses. In order to protect our credit, we robbed our 401 K, we loaded up our credit cards etc. etc. ....... It go's without saying that we would have given up everything we have to save out daughter, but the point of the preceding is simply to point out the fact that the system is absolutely out of control. A million dollars was not enough -- they were not satisfied until they had gone after pretty much everything we had.  Basically, a catastrophic illness can clean the average middle class - even upper middle class family out financially (Even if they have insurnace and savings).Moreover, we were astonished on just how relentless and nasty the medical billing community can be after going through something like this. You pay, and you pay in a specified amount of time -- or they will not only clean you out financially, they will do everything in their power to destroy your credit (you're future ability to finance a home, car or other necessity). The system is absolutely out of control -- It is just totall ludicrous!!

We are self employed and thankfully my husband will soon be eligible for medicare.  We have always paid high premiums for our health insurance due to our sales profession, and self employement, but this year it has now topped $1300 a month or more. Our premiums are over 1000.00 plus deductibles, copays, and medicine. The money I make barely covers our health expenses, and I must cover my cost of doing business as well. It is no wonder people are going in the hole to just maintain. Kerry Bridge's statement about what the country would do if everyone just stopped paying premiums is something to ponder, and I know full well how Janna in Florida feels!Obama...McCain, ARE YOU LISTENING?

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